Brockton Pediatrics
NPI 1629001904 · Primary Care Clinic/Center · Brockton, MA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brockton Pediatrics is a Primary Care Clinic/Center organization in Brockton, MA (NPI 1629001904).
Provider details
- NPI number
- 1629001904
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Yara Fernandez, MD(508) 584-6060
- License
- 150780 (MA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-09
- Last updated
- 2020-08-22
Frequently asked questions
- What is Brockton Pediatrics's NPI number?
- Brockton Pediatrics's National Provider Identifier (NPI) is 1629001904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Brockton Pediatrics?
- Brockton Pediatrics is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Brockton Pediatrics located?
- Brockton Pediatrics's practice location on file with NPPES is 65 Libby St, Brockton, MA 02302-2949.
- What is Brockton Pediatrics's phone number?
- The practice phone number listed in the NPPES registry for Brockton Pediatrics is (508) 584-6060.
- Does Brockton Pediatrics accept Medicare?
- Brockton Pediatrics is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Brockton Pediatrics?
- The authorized official listed on Brockton Pediatrics's NPPES record is Yara Fernandez, MD. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Brockton Pediatrics's NPI active?
- Yes — Brockton Pediatrics's NPI (1629001904) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.